Comparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias

Introduction: Laparoscopic inguinal hernia repair is a tension-free mesh repair that is based on pre-peritoneal approach of repair. It provides mechanical advantage to the surgeon, by being able to place a large piece of mesh and by using the natural force of the abdominal wall to disperse the intr...

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Autores principales:	Rohit Prasad Yadav, Manish Gautam, Ashok Koirala, Sameer Bhattarai, Sachhidanand Shah, Pankaj Giri
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2020
Materias:	Inguinal hernia Laparoscopic hernia repair TAPP TEP Surgery RD1-811
Acceso en línea:	https://doaj.org/article/56b8ac5f42714d6f91f64aea2f4505b9
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spelling	oai:doaj.org-article:56b8ac5f42714d6f91f64aea2f4505b92021-12-05T19:15:37ZComparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias10.3126/jssn.v23i2.358351815-39842392-4772https://doaj.org/article/56b8ac5f42714d6f91f64aea2f4505b92020-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/35835https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Laparoscopic inguinal hernia repair is a tension-free mesh repair that is based on pre-peritoneal approach of repair. It provides mechanical advantage to the surgeon, by being able to place a large piece of mesh and by using the natural force of the abdominal wall to disperse the intra-abdominal pressure over a large area to support the mesh. This retrospective study is aimed to study the demography of inguinal hernia and to compare operating time, complications and postoperative pain between patients undergoing Total Extrapritoneal (TEP) or Transabdominal Preperitoneal (TAPP) repair. Methods: A retrospective comparative study was conducted in patients with inguinal hernia who underwent laparoscopic repair by either TEP or TAPP, between April 2019 to July 2020 at Nobel Medical Collage Teaching Hospital, Biratnagar, Morang. Age, sex, type of hernia, duration of operation, post-operative complications, severity of pain and duration hospital stay were analyzed between two groups of patients undergoing surgery by either TEP or TAPP. Results: One hundred and five patients underwent either TEP or TAPP during study period. There were 96 males and 9 females. There were 50 patients with right, 40 with left and 6 patients with bilateral inguinal hernia. Four patients had left sided irreducible inguinal hernia, 2 patients had bilateral recurrent inguinal hernia, 2 patients had right sided recurrent inguinal hernia and 1 patient had left sided recurrent inguinal hernia. There was significant difference in duration of operation (TEP 64.43min) / (TAPP 84.46min), p<0. 001. Total duration of hospital stay and postoperative pain were not significant between patients operated with TEP or TAPP. Accidental pneumoperitoneum was noticed in 8 cases, 10 cases of subcutaneous emphysema, 5 cases of seroma and 1 case of scrotal hematoma in TEP group. In TAPP group scrotal hematoma occurred in 4 cases and seroma in 5 cases which was not significantly different from TEP group. Conclusion: TAPP had significantly longer operating time as compared to TEP. However, there was no significant difference in post-operative pain and hospital stay in both group. Rohit Prasad YadavManish GautamAshok KoiralaSameer BhattaraiSachhidanand ShahPankaj GiriSociety of Surgeons of NepalarticleInguinal herniaLaparoscopic hernia repairTAPPTEPSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 23, Iss 2 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Inguinal hernia Laparoscopic hernia repair TAPP TEP Surgery RD1-811
spellingShingle	Inguinal hernia Laparoscopic hernia repair TAPP TEP Surgery RD1-811 Rohit Prasad Yadav Manish Gautam Ashok Koirala Sameer Bhattarai Sachhidanand Shah Pankaj Giri Comparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias
description	Introduction: Laparoscopic inguinal hernia repair is a tension-free mesh repair that is based on pre-peritoneal approach of repair. It provides mechanical advantage to the surgeon, by being able to place a large piece of mesh and by using the natural force of the abdominal wall to disperse the intra-abdominal pressure over a large area to support the mesh. This retrospective study is aimed to study the demography of inguinal hernia and to compare operating time, complications and postoperative pain between patients undergoing Total Extrapritoneal (TEP) or Transabdominal Preperitoneal (TAPP) repair. Methods: A retrospective comparative study was conducted in patients with inguinal hernia who underwent laparoscopic repair by either TEP or TAPP, between April 2019 to July 2020 at Nobel Medical Collage Teaching Hospital, Biratnagar, Morang. Age, sex, type of hernia, duration of operation, post-operative complications, severity of pain and duration hospital stay were analyzed between two groups of patients undergoing surgery by either TEP or TAPP. Results: One hundred and five patients underwent either TEP or TAPP during study period. There were 96 males and 9 females. There were 50 patients with right, 40 with left and 6 patients with bilateral inguinal hernia. Four patients had left sided irreducible inguinal hernia, 2 patients had bilateral recurrent inguinal hernia, 2 patients had right sided recurrent inguinal hernia and 1 patient had left sided recurrent inguinal hernia. There was significant difference in duration of operation (TEP 64.43min) / (TAPP 84.46min), p<0. 001. Total duration of hospital stay and postoperative pain were not significant between patients operated with TEP or TAPP. Accidental pneumoperitoneum was noticed in 8 cases, 10 cases of subcutaneous emphysema, 5 cases of seroma and 1 case of scrotal hematoma in TEP group. In TAPP group scrotal hematoma occurred in 4 cases and seroma in 5 cases which was not significantly different from TEP group. Conclusion: TAPP had significantly longer operating time as compared to TEP. However, there was no significant difference in post-operative pain and hospital stay in both group.
format	article
author	Rohit Prasad Yadav Manish Gautam Ashok Koirala Sameer Bhattarai Sachhidanand Shah Pankaj Giri
author_facet	Rohit Prasad Yadav Manish Gautam Ashok Koirala Sameer Bhattarai Sachhidanand Shah Pankaj Giri
author_sort	Rohit Prasad Yadav
title	Comparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias
title_short	Comparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias
title_full	Comparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias
title_fullStr	Comparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias
title_full_unstemmed	Comparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias
title_sort	comparison of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias
publisher	Society of Surgeons of Nepal
publishDate	2020
url	https://doaj.org/article/56b8ac5f42714d6f91f64aea2f4505b9
work_keys_str_mv	AT rohitprasadyadav comparisonoftotallyextraperitonealversustransabdominalpreperitonealrepairofinguinalhernias AT manishgautam comparisonoftotallyextraperitonealversustransabdominalpreperitonealrepairofinguinalhernias AT ashokkoirala comparisonoftotallyextraperitonealversustransabdominalpreperitonealrepairofinguinalhernias AT sameerbhattarai comparisonoftotallyextraperitonealversustransabdominalpreperitonealrepairofinguinalhernias AT sachhidanandshah comparisonoftotallyextraperitonealversustransabdominalpreperitonealrepairofinguinalhernias AT pankajgiri comparisonoftotallyextraperitonealversustransabdominalpreperitonealrepairofinguinalhernias
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Comparison of Totally Extraperitoneal versus Transabdominal Preperitoneal repair of inguinal hernias

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